BCPPS study plan

Build a one-page reference of pediatric pharmacokinetic differences (absorption, distribution, metabolism, elimination) and apply it to explain dosing intervals for 10 commonly used drugs

Compute weight-based and body-surface-area-based doses, plus maximum adult dose caps, for 15 high-frequency pediatric medications without error

Map the pediatric immunization schedule by age and identify which vaccines are contraindicated in immunocompromised or premature infants

Select empiric antibiotic regimens for 5 common pediatric infections (otitis media, community-acquired pneumonia, cellulitis, UTI, bacterial meningitis) and justify the choice by organism and site penetration

Differentiate viral vs bacterial respiratory and GI presentations and defend the decision to withhold antibiotics in 8 case vignettes

Explain neonatal dosing adjustments using postmenstrual age, gestational age, and renal maturation for gentamicin, caffeine, ampicillin, and vancomycin

Interpret neonatal sepsis risk factors and describe when to initiate empiric therapy versus observe

Describe how to counsel caregivers on vaccine timing, expected adverse effects, and catch-up schedules for a child who is behind

Calculate and adjust enteral and parenteral nutrition for a premature infant, including fluid, calorie, protein, and electrolyte targets

Compare respiratory distress syndrome, transient tachypnea of the newborn, and bronchopulmonary dysplasia and match each to appropriate pharmacologic therapy

Build a stepwise asthma controller algorithm by age group and apply it to 6 severity vignettes

Demonstrate correct inhaler and spacer technique and identify device-appropriate selection by patient age

Calculate maintenance and deficit fluid requirements using the Holliday-Segar method and adjust for dehydration severity, ongoing losses, and electrolyte deficits

Select antiemetic, acid-suppression, and laxative therapy for pediatric patients with attention to age restrictions and off-label use

Design a refeeding and nutrition plan for a malnourished child, including monitoring for refeeding syndrome

Compare cystic fibrosis pulmonary therapies and pancreatic enzyme dosing, and describe monitoring for each

Classify congenital and acquired pediatric heart disease and match each to guideline-directed pharmacotherapy

Calculate and titrate diuretic and antihypertensive doses in a pediatric patient using weight and renal function

Differentiate seizure types and select appropriate antiepileptic therapy by age, syndrome, and adverse-effect profile

Evaluate psychiatric medication options for ADHD, depression, and anxiety in children, including black-box warnings and monitoring plans

Apply developmental and behavioral screening milestones to identify when pharmacotherapy plus behavioral therapy is indicated

Interpret thyroid function tests, growth charts, and bone age to classify pediatric thyroid and growth disorders

Construct an insulin regimen and sick-day plan for a newly diagnosed child with type 1 diabetes and counsel the family on hypoglycemia management

Manage pediatric diabetic ketoacidosis pharmacologically, including fluid rates, insulin infusion, and cerebral edema precautions

Differentiate anemias by indices and reticulocyte count and select iron, folate, or B12 therapy with appropriate monitoring

Design a supportive care plan for a child receiving chemotherapy, including antiemetics, growth factor support, and febrile neutropenia management

Adjust renally cleared medication doses using pediatric eGFR equations and interpret urinalysis and renal function panels

Describe immunosuppressant and immunoglobulin therapy in pediatric transplant and primary immunodeficiency, including monitoring and infection precautions

Apply a poisoning management framework to 8 toxidrome vignettes, selecting decontamination, antidote, and disposition

Prioritize interventions in pediatric resuscitation scenarios including weight-based code dosing for epinephrine, amiodarone, and naloxone

Re-review every domain using the accumulated error logs and re-test only previously missed concepts

Simulate a full-length timed practice examination under exam conditions and review every incorrect answer